j1 and j2 Waivers


ECFMG — Educational Commission for Foreign Medical Graduates
(FMG) — Provides Acculturation Program to Further Effective Cross-
Cultural Communication

Adjusting more quickly and easily to learning about and practicing within the U.S.
medical education system, as well as working and living in the United States – that’s a lot
of “adjusting.” Nobody calls it “culture shock” – instead ECFMG’s “acculturation” programs
are designed to assist newly arriving international medical graduates (IMGs) to effectively
navigate cultural differences.

Check out Website Objectives at http://www.ecfmg.org/acculturation/goal.html

This website is the answer to the question: what is being done to assist people from other
cultures who must quickly adapt to a new culture, not only as an individual person, but also
as a professional – a doctor serving patients?

For instance, could anyone learn a thing or two by experiencing these scenarios?

What’s in a Name?, an interactive, self-paced tutorial on meeting and greeting patients and colleagues in U.S.
hospitals and clinics. http://www.ecfmg.org/acculturation/whatsinaname.html

While you’re at it: http://www.ecfmg.org/acculturation/dozen.html

Go check out the series entitled “The One Dozen Most Important Things You May Not Have Known, Understood, or Realized About American Medicine” a series of modules designed to introduce international medical graduates (IMGs) who are entering the U.S. medical education and health care systems to the medical culture in which they will be working. This
includes concepts, issues, perspectives, and values that may differ significantly from those of
their native medical culture. The series is certainly not exhaustive but includes the areas in which
newly arriving IMGs most frequently have questions.

• A brief narrative description of the topic and its implications

• One or more video scenarios demonstrating interactions and behaviors related to the topic. Some scenarios demonstrate model behaviors, while others clearly demonstrate inappropriate behaviors.

• An analysis of the scenario(s) that highlights specific aspects of the physician’s interactions and behaviors. The analysis acknowledges model behaviors and proposes alternatives to poor behaviors.

• A set of discussion questions. Since the questions are designed to generate discussion (if being used in a group) or provide an opportunity for self reflection (if being used by an individual), answers are not provided.

• A script of the video scenario(s)


1. The Doctor-Patient Relationship

2. The Role of the Patient’s Family

3. Confidentiality

4. The Health Care Team

5. America Is a Litigious Society

6. Document, Document, Document!

7. Who Pays the Bills?

8. Gender Issues and Discrimination

9. Safety and Errors

10. Informed Consent

11. U.S. Graduate Medical Education

12. Above All, Professionalism

Please contact the Ranchod Law Group with offices in San Francisco,
Sacramento,and Sacramento, serving clients nationwide, at 800-753-1399 if you
have any questions regarding j1 waiver immigration law.

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